<!DOCTYPE html>
<html>

<head>
    <meta charset="UTF-8">
    <title>小鱼ADMIN</title>
    <meta name="renderer" content="webkit">
    <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
    <meta name="viewport" content="width=device-width,user-scalable=yes, minimum-scale=0.4, initial-scale=0.8,target-densitydpi=low-dpi" />
    <link rel="stylesheet" href="/public/static/css/font.css">
    <link rel="stylesheet" href="/public/static/css/bgadmin.css">
    <script type="text/javascript" src="/public/static/js/jquery-1.8.0.min.js"></script>
    <script type="text/javascript" src="/public/static/lib/layui/layui.js" charset="utf-8"></script>
    <script type="text/javascript" src="/public/static/js/bgadmin.js"></script>
    <script type="text/javascript" src="/public/static/js/jquery.form.js"></script>  
</head>

<body>
    <div class="bg-body">
        <form  action="#" method="post" id="basicCustomer" class="layui-form">
            <div class="layui-form-item">
                <div class="layui-inline">
                    <label class="layui-form-label">
                        <span class="bg-red">*&nbsp;&nbsp;</span>客户姓名：
                    </label>
                    <div class="layui-input-inline">
                        <input type="text" id="name" name="name" lay-verify="required" autocomplete="off" class="layui-input">
                    </div>
                </div>
                
                <div class="layui-inline">
                    <label class="layui-form-label">
                        <span class="bg-red">*&nbsp;&nbsp;</span>电话：
                    </label>
                    <div class="layui-input-inline">
                        <input type="text" id="phone" name="phone" lay-verify="required" autocomplete="off" class="layui-input">
                    </div>
                </div>
                <div class="layui-inline">
                    <label class="layui-form-label">
                        性别：
                    </label>
                    <div class="layui-input-inline">
                        <select name="sex" id="sex" autocomplete="off" class="layui-input">
                            <option value="">请选择</option>
                            <option value="1">男</option>
                            <option value="2">女</option>
                        </select>
                    </div>
                </div>
                <div class="layui-inline">
                    <label class="layui-form-label">
                        生日：
                    </label>
                    <div class="layui-input-inline">
                        <input type="text" id="brithday" name="brithday" autocomplete="off" class="layui-input">
                    </div>
                </div>
            </div>
            <div class="layui-form-item">
                <label class="layui-form-label"><span class="bg-red">*&nbsp;&nbsp;</span>选择地址：</label>
                <div class="layui-input-inline">
                    <select name="province" id="province" lay-verify="required" lay-skin="select" lay-filter="province" lay-search="">
                        <option value="">请选择省</option>
                    </select>
                </div>
                <div class="layui-input-inline">
                    <select name="city" id="city" lay-verify="required" lay-skin="select" lay-filter="city" lay-search="">
                        <option value="">请选择市</option>
                    </select>
                </div>
                <div class="layui-input-inline">
                    <select name="area" id="area" lay-verify="required" lay-skin="select" lay-filter="area" lay-search="">
                        <option value="">请选择区镇</option>
                    </select>
                </div>
                <div class="layui-input-inline">
                    <select name="street" id="street" lay-skin="select" lay-filter="street" lay-search="">
                        <option value="">请选择街道</option>
                    </select>
                </div>
             </div>
            <div class="layui-form-item layui-form-text">
                <label class="layui-form-label">
                    所选地址：
                </label>
                <div class="layui-input-block" id="address_select" style="padding-top: 11px;">
                    <input class="layui-input" name="address_details" id="address_details" lay-verify="required" style="width:50%">
                </div>
            </div>
            <div class="layui-form-item">
                <div class="layui-inline">
                    <label class="layui-form-label"></label>
                    <div class="layui-input-inline">
                        <a class="layui-btn" lay-submit="" id="saveBasicCustomer" lay-filter="saveBasicCustomer">添加</a>
                    </div>
                </div>
            </div>
        </form>
    </div>
</body>
<script type="text/javascript" src="/public/static/crm/js/addcustomer/addCustomer.js"></script>

</html>
